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Home My WebLink About15297-zFORM NO. 4 TOWN OF $OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No . .Z 1.5.9 7..2 Date THIS CERTIFIES that the bmldmg One f a m.z 1. y Locatmn of Property .167.5.?.e..qua. s.h. Aye. House No. July ~[, .1.~7 ....... d~ell[n~. . ......... .CutF~.~e ~e~ ''' Ham/e~ County Tax Map No 1000 Section . 1.0.3. ...... Block ... 0. 7. ...... Lot . .I 6 ......... Subdzwmon..B i.E.. C..r .e.e.n. 3,.c r e s .Fried Map No..57.5. 7... Lot No..4. .......... conforms substantially to the Apphcation for Building Permit heretofore filed in ttus office dated .... $ e~.t. ~. 1.0. ~..1 ~ 8.~ pursuant to wtuch Bmlding Permit No.. 15. 2. .97.z ............ dated ...... S..e p t.:..2 .I.,.. 1.9 .8.6. was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for winch tlus certfficate m issued is .... One fam~l.y..dwell~n.~, 2 car gar. ag.e a. nd f..rg.nt..a.n.d ..sl.d.e.d.e. 9.k.s.. Thecertfficatemmsuedto . FREDERICK & DOROTHY CHARNEWS (owner, of the aforesmd budding Suffolk County Department of Health Approval ...85 - S. O. 7 .I.7.4...J.u.n.e..2.9., . ! .9.8.7 .......... UNDERWRITERS CERTIFICATE NO ...... .P.e.n.d. ~ nE..7../.2.17.8. 7. .................. PLUMBERS CERTIFICATION DATED: June 22, 1987 Bmldmg Inspector ~~' Rev 1/81 FO~M' NO, O TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING P EP~A IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. 15297 Z Permission Js hereby granted to' cou,w ~o, Mop No ,000 Se=,,on. JO~ B,~k ....0.....-2. ....... Lot No ..... l. G ....... {3uddJng Inspector Building Irtspector Rev 6/30/80 VICTOR LESSARD PRINCIPAL BUILDING INSPECTOR (516) 765-1802 FAX (516) '/65-1823 Town Hall, 53095 Main Road PO Box 1179 Southold, New York 11971 OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD MAY 18, 1990 Fredrick & Dorothy Charnews 1675 Pequash Avenue Cutchogue, NY 11935 Dear Mr & Mrs Charnews: Today this office received a copy of your Certificate of Occupancy for your house on Pequash Avenue. According to our records the original Certificates of Occupancy were changed to include front and side decks not rear decks. The Certificate of Occupancy you sent us was a copy of the original before the changes were made. If you would like a copy of the new Certificate of Occupancy please send a check for $5.00 made out to the Town of Southold and we will send you the copy. Thank you for your cooperation in this matter. Sincerely, SOUTHOLD TOWN BUILDING DEPT. FIELD IN~$YEC ~TI ON COMMENTS FOUNDATION (1st) FOUNDATION (2nd) ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: o FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 765 - 1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled ~n typewmter OR ink, and submitted m~ to the Building Inspec- tor w~th the followmg; for new buildmgs or new use. 1. Final survey of property w~th accurate location of all buildmgs, property lines, streets, and unusual natural or topographm features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrmal mstaliat~on from Board of Fire Underwriters. 4. Commerc~a[ buddings, Industrml buddings, Muluple Remdences and simdar buddings and installa- tions, a certificate of Code compliance from the Architect or Engineer responmble for the buddmg. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existmg buddmgs (prior to April 1957), Non-conform;ng uses, or buildings and "pre-ex~sting" land uses: 1. Accurate survey of pxoperty showing all property hnes, streets, buddmgs and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and cond:t~on of buddings. 3. Date of any housmg code or safety mspectlon of bulldmgs or premises, or other pertment mforma- t~on required to prepare a certificate. C. Fees: 1. Cert~fmate of occupancy $25.00 -- BUSINESS $50.00 ACCESSORY $10 00 2. Cert~fmate of occupancy on pre-existmg dwelling $ 50.00 3. Copy of cert~fmate of occupancy $ 5.00, over 5 years $10.00 . 4.Vacant Land C.O. $ 20.00 /~ /.~..~ 5.Upda%ed C.O. $ 50.00 Date ..... ~'. .Q ....... NewConstruc%zon ..... Old or Pre-exlstmg Buddmg ........ Vacant Land ............ Location of Property ........ i~ ./. -~ ........ [. ?..~'A.-.i.F'~..~L].{ ...... /.~.1~.(~ .. · ~. · House No. (d Street Owner or Owners of Property . . .. .... County Tax Map No 1000 Sect,on ... [.~.~. OL'~.. Block....Q'~.~..~.Q~.... Lot . .~[.~'~.,.C~.~. S bd,v,s,on. .Lot No . ..... Perm,t No./~ ~.] 7. ~-. Date of Perm,t. ?.~./~..Apphcant...~f: Health Dept Approval ............... Labor Dept Approval ....................... Underwmters Approval .................. Plannmg Board Approval ..................... Request for Temporary Cert~fmate .................. Fma[ Certificate ....~-;~'.. ................ Fee Submitted S .................... Construction on above described buddmg and perm~t.~ /') 'f~meets all apphc~ble codes and regulations TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-I 802 CERTIFICATION Date Bulldlng Permit NO. Owner ~ (p!egsd Dr mn~t) (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. ,p. ¢oop Sworn to befor~e this ~ aay of <1.......~.~.. , 19 ~'/ · ~/// d~°~ary Publ!c Notary Publ~c,~County 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ~ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~FRAMING [ ] FINAL DATE; ~/~/~ ,NSP£CTOR ~~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [~NSULATION DATE ~~/~ INSPECTOR BUlLi~ING DE/Pr. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING /[~] FINAL REMARKS: INSPECTOR .='/L E ,¢$ 34L~ I SURVEYED FOR- ,,'~'~'~.~--'"~,,"~.,, ~ / ,~:~:~~,~' .~, C,,,,~.,,~'.,~.'~-~'~ T LOCATED AT ~"~/"~"~_____~--~4::~ ~'~_,/'~--~" , TOWN OF~~~ , SUFFOLK COUN Y N Y LOT ~ J MAPOF ~ ~~ ~C~ ~ J ~ ,C0. CLK. NO.~~ FILE~~~ J SUFFOLK CO. TAX MAP DATA.- ~ .... ~, I ~ ~' ~-- ~. ~ 13 ~ ~ ~/ ~1 , , , ~ ~ I ~ ~ N~, ~URVEYED ~~ 19~BY I ~ ~ _ A ~ ~ ~ ~ ~~ JAMES~RT, L.I., N. Y 11947 DRAWN LO~TED AT ~~ ~ , TOWN OF~~~ , SUFFOLK COUNT N Y OFFSETS FROM STRUCTURES TO RELATh'[ ~ObF'~RY_ LINES, CONSTRUCTI,~N OF FENCES ' DRAWN B~...~ SURVEYED FOR- "~,~~--~"~*/C,~.,. LOCATED AT ~~ ~ , TOWN OF~~~ , SUFFOLK COUNTY N Y LOT ~ MAP OF ~/~ .~~ ~~ ~ ~. ~ , CO CLK NO ~~ FI~D~~~ sc~ ~" = ~ ~. ~ ~~,~~ ~/~.. . D~ /0~ ,SEC eLK. ~ LOT · ,v~ ~ouN~,, u~s. JUN ~ ~ oN SURVEY, ,~ ~O~ A ~ ~ ~ ~~k AN~ WATER SUPPLY FAC~ ~S FOR ~ ~ ~ , ~ ~m~ ~¢~OTED BY THIS DEP~I ~ENT Chi~ of W~t~ M~d~ S~tl~ '~J /// . J~- . · · F~LE NO DRAWN B~ Approved ~r'~.p 'l-I Disapproved a/c FORM NO 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N,Y. 11971 TEL. 765-1803 ,19 ~/~' , 19 ~ Penmt No. / ~ c/'7 ~:- Recezved ........... ,19. (Budding Inspector) APPLICATION FOR BUILDING PERMIT Date ~ /O . , 19~ INSTRUCTIONS a. Tlus apphcat~on must be completely filled m by typewriter or in ink and submitted to the Bufldmg Inspector, wltt sets of plans, accurate plot plan to scale Fee accordmg to schedule b Plot plan showing location of lot and of buddings on premises, relationship to adjommg premises or public stre or areas, and g~vmg a detmled description of layout of property must be drawn on the diagram which is part of this ap.~ cation c. The work covered by this application may not be commenced before issuance of Bufldmg Permit d. Upon approval of this apphcatlon, the Building Inspector wall issued a Budding Permit to the apphcant Such pen shall be kept on the premises available for mspectlon throughout the work e. No budding shall be occupied or used in whole or m part for any purpose whatever until a Certificate of Occupar shall have been granted by the Budding Inspector APPLICATION IS HEREBY MADE to the Bmldmg Department for the issuance of a Budding Permit pursuant to Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the constructaon of buildings, additions or alterations, or for removal or demoht~on, as hereto descnb. The applicant agrees to comply with all apphcable laws, ordinances, bufldmg code, housing code, and regulations, and admit authorized inspectors on premises and m budding for necessary lntrF~Ctlons (~~;c~t, or name, ifa corporat;~n, State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build (as on the tax roll or latest deed) ' If applicant ~s a corporahon, signature of duly authorized officer 2 (Name and title of corporate officer) Builder's License No ~e---O~ ~]~'--'' Plumber's License No .. Electrician's License No Other Trade's License No /70'rCf-I 0 Location of land on which proposed work will be ttouse Number Street County Tax IVlap No I000 Section /0.~ Block Hamlet .Lot. Subd~v~slon Filed Map No Lot (Name) State exlstmg use and occupancy of premises and ~ntended use and occupanc, gy~of proposed construction a Existing use and occupancy 0~''~ Or~ ~ ~ b Intended use and occupancy .............. 3. Nature of work (check which applicable) New Budding ....... Addition ......... Alteration .. Repair .... Removal ....... Demolition ..... Other Work ....... ~ 0 ~,~ ~./~ .~. (Descnphon) 4. Estimated Cost .......... x. ccrO~ O Fee ..................... (to be paid on filing this application) 5. If dwelling, number of dwelling units ....... Number of dwelling units on each floor ............ If garage, number of cars 6 If bus~ness, commercial or m~xed occupancy, specify nature and extent of each type of use ............. 7 D~menmons of existing structures, if any Front ..... Rear .......... Depth .......... Height ...... Number of Stones ............................. Dnnenmons of same structure with alterations or addmons Front ........ Rear .............. Depth ......... Height ............ Number of Stones ................... 8 Dimensions of entzte new construction Front .. Rear ........ Depth ............. Height ....... Number of Stones ................................. 9. Size of lot Front ........... Rear ............ Depth ................ 10. Date of Purchase ............. ,hlame_gf ~ormer Owner ................... -.t 11 Zone or use district in which premises are mtuated ...(~A4~~. /~...~-.~,~. ...... 12 Does proposed construction violate any zomng law, ordinance or regul'tttlon' .... '. 7 ................... 13. Wxll lot be regraded ~ . , . ~ ...... W~ll excess fill be removed from premises Yes 14 Name of Owner ofpremlses-/4~ ~Address ~-t,E~:~ ..~[-- .. Phone No..7.~4.-'Y. 0.~. ~. Name of Architect ........ Address ........... Phone No ........... Name of Contractor .............. Address .......... Phone No ......... 15. Is this property located w~th~n 100 feet of a t~dal wetland? * Yes ..... No ..~.. ~ · If yes, Southold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and dlstmctly all buildings, whether existing or proposed, and indicate all set-back dnnenslons from property hnes Give street and block number or descnptmn accordmg to deed, and show street names and mdmate whether interior or corner lot. TATE OF NEW YORK, S S 'OUNTY OF. .. (Name of ~ndlv~dual signing contract) oove named .... being duly sworn, deposes and says that he ;s the applicant IS the ....................................................... (Contractor, agent, corporate officer, etc.) said owner or owners, and ~s duly author*zed to perform or have performed the smd work and to make and file this ~phcatlon, that all statements contamed m this application are true to the best of his knowledge and belief, and that the ork wdl be performed in the manner set forth m the application filed therewith. yom to before me thru ......... //-9 .... t day of. ~ ....... , 19.°c'.~ )taryPubhc,....~.~.'..~..-&.~/.~. County..,__._ ~...' '- .... ..,~..~..~.~... ~O~,t~'l'l'l'l'l'l'l'l'l~-.~Lll~_~ (Signature of applicant) NOTIFY BUILDING DEPARTMENT AT for w~tir FOLLOWING INSPECTIONS: ly~t~fft; Idplng IhBII be FOUNDAI'IOhl TWO R£QU~RED ~DiN wATER of typee K or L onl~ FOR POUREO CONCRE~I'E '.FINAL CO.STRUCTION MUST BE COMPLE'~F. FOR C.O. AI.L CONSTRUCTION SHALL MEET II II I I ..... TE :: _ '1 T